This artwork presents a striking combination of text and intricate illustration, framed by an elaborate border that mimics a lush, detailed forest scene. The title "MEDICINE SONGS" dominates the top center in a serif font, followed by a subtitle indicating the transcription from Indian originals by Mary Austin and decorations by Franklin Booth. Below, a dense block of text opens with a large ornamental capital letter "I", discussing the unique nature of American Indian poetry and its expressive, almost musical qualities.

At the bottom, two Native American figures, a man and a woman, sit back-to-back on a stone-like platform, enveloped by the naturalistic border flora that frames the whole composition. The linework of the border is exquisite, revealing Booth's signature style—fine cross-hatching and detailed linear patterns that give the trees and foliage a textured, almost tactile quality. The monochromatic palette emphasizes sharp contrasts between light and shadow, lending a timeless, contemplative mood that invites the viewer to reflect on the cultural depth and poetic tradition being evoked. The composition balances text and imagery perfectly, turning the page into both a literary and visual experience, stirring curiosity and a sense of reverence for the indigenous musical and poetic heritage described here.